A BIOMECHANICAL COMPARISON BETWEEN STRONGMAN EVENTS AND TECHNICALLY SIMILAR TRADITIONAL WEIGHT TRAINING EXERCISES: A NARRATIVE REVIEW

A literature search was conducted to identify studies comparing biomechanical parameters of strongman events and technically similar traditional weight training exercises. While many similarities were identified, the farmers walk may result in reduced stress placed on the lumbar spine due to the more vertical trunk than when performing the deadlift under identical loading conditions, the heavy sled pull may be used to better develop anterior force production than the back squat, and the log lift may be used to better develop forceful hip extension during a triple extension movement than the clean and jerk. The identification of biomechanical similarities and differences between strongman and traditional weight training exercises may be used by strength and conditioning coaches to better prescribe exercises suited to an individual athletes’ conditioning requirements

An investigation of treatment return after psychological therapy for depression and anxiety

BACKGROUND: Some patients return for further psychological treatment in routine services, although it is unclear how common this is, as scarce research is available on this topic. AIMS: To estimate the treatment return rate and describe the clinical characteristics of patients who return for anxiety and depression treatment. METHOD: A large dataset (N=21,029) of routinely collected clinical data (2010-2015) from an English psychological therapy service was analysed using descriptive statistics. RESULTS: The return rate for at least one additional treatment episode within 1-5 years was 13.7%. Furthermore, 14.5% of the total sessions provided by the service were delivered to treatment-returning patients. Of those who returned, 58.0% continued to show clinically significant depression and/or anxiety symptoms at the end of their first treatment, while 32.0% had experienced a demonstrable relapse before their second treatment. CONCLUSIONS: This study estimates that approximately one in seven patients return to the same service for additional psychological treatment within 1-5 years. Multiple factors may influence the need for additional treatment, and this may have a major impact on service activity. Future research needs to further explore and better determine the characteristics of treatment returners, prioritise enhancement of first treatment recovery, and evaluate relapse prevention interventions

The influence of animal ownership on mental health for people with severe mental illness: Findings from a UK population cohort study

Abstract Background and aims: There is increasing evidence to suggest companion animal ownership may positively impact mental health and wellbeing. However, there is limited research related to the role of companion animal ownership for mental health that focuses on people living with severe mental illness (SMI). We aimed to explore the connection among loneliness, mental health, wellbeing, animal ownership, and the perceived strength of the human-animal bond in this population. Methods: We conducted a survey in an existing UK cohort of people living with SMI. The survey questionnaire included standardized measures to collect information related to mental health, loneliness, and the perceived strength of the human-animal bond. Results: Of 286 participants who had previously consented to participate in the follow-up survey, 170 participants (59.4%) completed the survey. Of these, 81 (47.6%) owned at least one animal, and most perceived to have a strong human-animal bond with their companion animal as indicated by the Comfort from Companion Animals Scale (M = 39.80 of a maximum score of 44). However, regression analyses showed that owning an animal was not significantly associated with wellbeing, depression, anxiety, or loneliness scores. Likewise, the perceived strength of the human-animal bond was not significantly associated with animal species owned or wellbeing, depression, and anxiety scores. Conclusion: The findings provide a counterpoint to the commonly held assumption that companion animals are beneficial for all owners’ mental health. Further exploration of the role of human-animal relationships, including challenges and support needs related to animal ownership, in people living with SMI is required

Factors associated with low fruit and vegetable consumption among people with severe mental ill health

Severe mental ill health (SMI) is associated with excess mortality, and poor diet is one associated modifiable risk factor. This study investigated factors associated with low consumption of fruit and vegetables among people with SMI (N = 9914). A total of 8.4% of participants ate no portions per day, while only 15% ate 5 + portions. Individuals who never consumed fruit and vegetables or ate < 5 portions per day were more likely to be male, younger than 65, unemployed, experience poorer general health, or perceive health as unimportant. Poor diet is common among people with SMI and tailored dietary improvement interventions are required

Health-risk behaviours among people with severe mental ill health : understanding modifiable risk in the Closing the Gap Health Study

© 2023 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/BACKGROUND: People with severe mental ill health (SMI) experience some of the largest health inequalities of any sector within society. For these inequalities to be reduced, an understanding of the behavioural determinants of health in this population is needed. AIMS: Utilising data from the Closing the Gap Health Study, we aimed to assess the extent to which people with SMI report health-risk factors and behaviours, their interest in modifying them, and the factors associated with being motivated to modify these behaviours. METHOD: Adult (≥18 years old) participants were recruited via primary and secondary care in the English National Health Service. To be eligible, participants needed to have a documented diagnosis of schizophrenia, psychotic disorders or bipolar disorder. Data were collected by survey on demographics, general physical health, diet, physical activity, alcohol, smoking and body mass index. RESULTS: Between April 2016 and March 2020, n = 9914 participants were recruited. Among people with SMI, high rates of obesity (37.5%), infrequent physical activity (62.0%), not meeting current guidelines (≥5) for the consumption of fruit and vegetables (85.0%) and smoking (42.2%) were observed. However, most participants were motivated to reduce health-risk behaviours. Perceiving the importance of health-promoting behaviours, being of poorer general health and being female were significantly associated with being motivated to modify health-risk behaviours. CONCLUSIONS: Despite experiencing poor physical and mental health outcomes compared with the general population, and contrary to popular misconceptions, people with SMI perceive health as important and are motivated to make behavioural changes to improve health.Peer reviewe

Digital health literacy and digital engagement for people with severe mental ill health across the course of the COVID-19 pandemic in England

Background An unprecedented acceleration in digital mental health services happened during the COVID-19 pandemic. However, people with severe mental ill health (SMI) might be at risk of digital exclusion, partly because of a lack of digital skills, such as digital health literacy. The study seeks to examine how the use of the Internet has changed during the pandemic for people with SMI, and explore digital exclusion, symptomatic/health related barriers to internet engagement, and digital health literacy. Methods Over the period from July 2020 to February 2022, n = 177 people with an SMI diagnosis (psychosis-spectrum disorder or bipolar affective disorder) in England completed three surveys providing sociodemographic information and answering questions regarding their health, use of the Internet, and digital health literacy. Results 42.5% of participants reported experiences of digital exclusion. Cochrane-Q analysis showed that there was significantly more use of the Internet at the last two assessments (80.8%, and 82.2%) compared to that at the beginning of the pandemic (65.8%; ps < 0.001). Although 34.2% of participants reported that their digital skills had improved during the pandemic, 54.4% still rated their Internet knowledge as being fair or worse than fair. Concentration difficulties (62.6%) and depression (56.1%) were among the most frequently reported symptomatic barriers to use the Internet. The sample was found to have generally moderate levels of digital health literacy (M = 26.0, SD = 9.6). Multiple regression analysis showed that higher literacy was associated with having outstanding/good self-reported knowledge of the Internet (ES = 6.00; 95% CI: 3.18–8.82; p < .001), a diagnosis of bipolar disorder (compared to psychosis spectrum disorder – ES = 5.14; 95% CI: 2.47–7.81; p < .001), and being female (ES = 3.18; 95% CI: 0.59–5.76; p = .016). Conclusions These findings underline the need for training and support among people with SMI to increase digital skills, facilitate digital engagement, and reduce digital engagement, as well as offering non-digital engagement options to service users with SMI

Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review.

Background People with severe mental ill health experience a mortality gap of 15–20 years and one of the main reasons for this is due to preventable physical health conditions. Physical activity can reduce the risk of developing physical health conditions such as diabetes and cardiovascular disease yet people with severe mental ill health are less physically active and more sedentary than the general population. Methods A systematic review was conducted to investigate the effectiveness of interventions aimed at increasing physical activity and reducing sedentary behaviour in people with severe mental ill health. The protocol was published with PROSPERO (CRD42021277579). Randomised controlled trials conducted in any country in any setting and published in English with an aim of increasing physical activity or reducing sedentary behaviour were included. Results Eleven unique studies were identified for inclusion. Due to the variability between interventions, outcome measures, and time points, it was not possible to conduct a meta-analysis. Effect estimates suggested that three of the interventions were effective at increasing physical activity. However, the certainty of the evidence was rated as low using the GRADE approach. Conclusions The evidence on interventions to increase activity shows promise but is insufficiently robust for an intervention to be recommended in clinical guidelines. More high-quality and statistically powered trials are needed to guide best practice and policy

Factors associated with low fruit and vegetable consumption among people with severe mental ill health

Severe mental ill health (SMI) is associated with excess mortality, and poor diet is one associated modifiable risk factor. This study investigated factors associated with low consumption of fruit and vegetables among people with SMI (N = 9914). A total of 8.4% of participants ate no portions per day, while only 15% ate 5 + portions. Individuals who never consumed fruit and vegetables or ate < 5 portions per day were more likely to be male, younger than 65, unemployed, experience poorer general health, or perceive health as unimportant. Poor diet is common among people with SMI and tailored dietary improvement interventions are required

Current results and future prospects from PSR J1757-1854, a highly-relativistic double neutron star binary

Pulsars, rapidly-rotating highly-magnetised neutron stars, can serve as useful laboratories for probing aspects of fundamental physics. Binary pulsars, especially those in tight binary systems with massive, compact companions, are useful in testing different theories of gravity, the current paradigm being General Relativity (GR). Additionally, binary pulsars can also be utilised to explore other areas of fundamental physics, such as the behaviour of matter at ultra-high densities and the neutron star moment of inertia. A standout example is PSR J1757-1854, a 21.5-ms pulsar in a highly-eccentric (e=0.61), 4.4-hr orbit around a neutron star companion. This pulsar exhibits some of the most extreme relativistic parameters ever observed in a binary pulsar, reaching a maximum line-of-sight acceleration of close to 700 m/s/s and displaying among the strongest relativistic effects due to gravitational wave damping. To date, five post-Keplerian parameters have been measured in PSR J1757-1854, allowing for three independent tests of gravity to be conducted (of which GR passes all three) and for the component neutron star masses to be separated. The extreme properties of this system (particularly its high eccentricity) are expected to allow for future measurements of Lense-Thirring precession effects (allow for a measurement of the neutron star moment of inertia) and the relativistic deformation of the orbit, both of which remain almost completely unexplored by other binary systems. Although first discovered by the Parkes Radio Telescope in 2016 as part of the High Time Resolution Universe Southern Galactic Plane survey, it is ongoing observations with the Green Bank Telescope (GBT) which have provided the backbone of PSR J1757-1854’s continuing study. The large-bandwidth, high-precision observations afforded by the GBT played a fundamental role in delivering the science derived from the pulsar so far, and will be critical in allowing it to reach its full scientific potential going forward. In this talk I will provide a progress report on the ongoing timing of the system, including a review of the latest mass measurements and gravity tests, with an emphasis towards the future science which this pulsar will make possible

‘That’s where my perception of it all was shattered’:Oral histories and moral geographies of food sector workers in an English city region

AbstractGeographers and oral historians continue to have much to learn from each other. The subfield of labour geography in particular can enrich its understanding of workers’ lived experiences, both in employment and beyond the workplace, through greater use of interpretative, collaborative oral history methodologies. Attentive to the temporal specificity and inter-subjectivity of people’s narratives, oral history reveals how workers’ moral geographies emerge and change. This article documents the spatio-temporalities and institutions of food sector employment in Peterborough, England, a city-region from which urban-based workers are bussed out daily to rural jobs. The analysis draws on four extended case studies of people who migrated to the UK and worked in the sector in the 2000s, building on recent research that has highlighted harsh employment conditions in the food production, packing and processing sector. It complements this work by viewing narrative itself as an agentic act and listening to how research participants crafted their life stories. These stories revealed diverse, complex and context-specific moral geographies, with participants variously placing value on small acts of rebellion or refusal, dignity and the time to speak with others at work. The article advocates greater engagement by labour geographers with the subjective experiences of workers, and with individual as well as collective agency